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COURTNEY NICOLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1130 W 53RD ST, DAVENPORT, IA 52806-2401
(563) 340-3782
(563) 204-4474
Mailing address
PO BOX 735379, CHICAGO, IL 60673-5379
(563) 340-3782
(563) 204-4474

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.020089
IL
363LF0000X
Family Nurse Practitioner
Primary
A155984
IA

Other

Enumeration date
08/26/2019
Last updated
03/13/2024
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